Local VEGF activity but not VEGF expression is tightly regulated during diabetic nephropathy in man

B. Hohenstein, B. Hausknecht, K. Boehmer, R. Riess, R. A. Brekken, C. P M Hugo

Research output: Contribution to journalArticle

122 Citations (Scopus)

Abstract

Several studies have implicated the angiogenic cytokine vascular endothelial growth factor (VEGF) in the development of diabetic nephropathy, but no data are available about its local activity during human disease. Glomeruli from 52 archival biopsies from type II diabetics were evaluated and compared to 10 renal biopsies without kidney disease (controls). Glomerulosclerosis, capillary rarefaction, glomerular and endothelial cell proliferation, apoptosis, VEGF expression, as well as receptor-bound VEGF indicating local VEGF activity, and phosphorylation of the signal transduction molecule Akt were investigated. Owing to substantial heterogeneity of glomerular lesions in individual biopsies, these parameters were correlated with the degree of injury in individual glomeruli rather than biopsies. Severe glomerular capillary rarefaction was linked to the degree of glomerulosclerosis. While cellular apoptosis was detected independent of the stage of injury, endothelial cell proliferation indicating capillary repair was markedly increased only in mildly/moderately injured glomeruli. In controls, VEGF was predominantly expressed in podocytes, whereas receptor-bound VEGF was confined to the glomerular endothelium. VEGF expression was increased in all diabetic glomeruli by many different cell types. In contrast, VEGF receptor activation was increased predominantly in the endothelium of only mildly injured glomeruli, but significantly decreased in more severely injured glomeruli. Diabetic nephropathy is associated with glomerular capillary rarefaction. Despite overall increased glomerular VEGF, the decreased receptor-bound VEGF on the endothelium may be an indicator of an insufficient capillary repair reaction.

Original languageEnglish (US)
Pages (from-to)1654-1661
Number of pages8
JournalKidney International
Volume69
Issue number9
DOIs
StatePublished - May 2006

Fingerprint

Diabetic Nephropathies
Vascular Endothelial Growth Factor A
Vascular Endothelial Growth Factor Receptor
Endothelium
Biopsy
Endothelial Cells
Cell Proliferation
Apoptosis
Podocytes
Wounds and Injuries
Kidney Diseases
Human Activities
Signal Transduction
Phosphorylation
Cytokines
Kidney

Keywords

  • Diabetes
  • Endothelial cell repair
  • Receptor-bound VEGF
  • VEGF

ASJC Scopus subject areas

  • Nephrology

Cite this

Local VEGF activity but not VEGF expression is tightly regulated during diabetic nephropathy in man. / Hohenstein, B.; Hausknecht, B.; Boehmer, K.; Riess, R.; Brekken, R. A.; Hugo, C. P M.

In: Kidney International, Vol. 69, No. 9, 05.2006, p. 1654-1661.

Research output: Contribution to journalArticle

Hohenstein, B. ; Hausknecht, B. ; Boehmer, K. ; Riess, R. ; Brekken, R. A. ; Hugo, C. P M. / Local VEGF activity but not VEGF expression is tightly regulated during diabetic nephropathy in man. In: Kidney International. 2006 ; Vol. 69, No. 9. pp. 1654-1661.
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